MEDICARE: DR. SHANE D. DRAPER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	9903	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC3776	OTHER	NV	BS FEDERAL EMP PROGRAM
2	480033493	OTHER	NV	PALMETTO RAILROAD
3	NV9903	OTHER	NV	BCBS OF NV
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841272168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHANE D. DRAPER DPM

Provider Business Mailing Address
First Line	:	2078 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-738-1100
Fax Number	:	775-738-1101

Provider Business Practice Location Address
First Line	:	2078 IDAHO ST
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-2627
Country	:	US
Telephone Number	:	775-738-1100
Fax Number	:	775-738-1101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	04/28/2025

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Directions to “ DR. SHANE D. DRAPER DPM” Practice Location

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